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Individual Registration

Please enter information in the form below to process registration for event 2019 - National Convention - "Gathering of Coupes". Please note that EACH person attending should have a registration filled out. For members, you would log in first and it will auto-fill fields (plus, there's an early-bird special and members get a reduced price!) Then you can register for anyone else coming with you by changing the name/Phone/email fields.

Select Register and you can then select your options!

First Name *

Last Name *

Address *

Address 2

City *

State *

Phone *

Email *

Anything we need to know?

Expected Arrival Date *

Arriving by: *

Private Aircraft

Commercial Aircraft

Car/Motor Home

Pilot or CoPilot? *

Pilot

Copilot

Aircraft Model *

Tail Number *

Serial Number *

Year of Manufacture: *

Flying Miles (nm, direct): *

Where are you staying? *

At the Convention Hotel

Camping with my plane at the airport

Camping at the airport WITHOUT a plane

Staying at the airport in an RV/Motorhome

Other

What type of accommodations? *

1st T-Shirt ($20) *

XXL

none

2nd T-Shirt ($20)

XXL

none

Saturday Banquet & Awards - $25 *

Yes

I understand this event is non-refundable. *

Payment Information

Amount

Discount Amount

Gross amount

Payment Method *

Paypal Pay by Check

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

Verification code*